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Journal of Korean Neurosurgical Society 2010;48(5): 455-460.
doi: https://doi.org/10.3340/jkns.2010.48.5.455
Pyogenic Spondylodiscitis after Percutaneous Endoscopic Lumbar Discectomy.
Kyeong Bo Choi, Choon Dae Lee, Sang Ho Lee
1Department of Neurosurgery, Busan Wooridul Spine Hospital, Busan, Korea.
2Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea. nslcd@yahoo.co.kr
ABSTRACT
We reviewed 9 cases of pyogenic spondylodiscitis following percutaneous endoscopic lumbar discectomy (PELD). Microbiologic cultures revealed 6 causative organisms. Five patients were managed conservatively and four were treated surgically. The mean follow-up period was 20.6 months and the average length of hospitalization was 24 days. Radiological evidence of spinal fusion was noted and infection was resolved in all patients. Although PELD is a safe and effective procedure, the possibility of pyogenic spondylodiscitis should always be considered.
Key Words: Pyogenic spondylodiscitis; Percutaneous endoscopic lumbar discectomy
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